Registration

This registration form covers health, spiritual intent, medical conditions, expectations, and participation terms, ensuring a safe and prepared environment for everyone attending the retreat January 30-February 1, 2025.

Date

YYYY

Date of Birth

YYYY

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What draws you to the Temazcal Tonatiuh Retreat? (Please briefly describe your intention and what you hope to gain from this experience.)

Is there a specific area of your life or healing journey that you would like to focus on during this retreat?

Do you have any prior experience with traditional medicine and/or healing ceremonies? (If yes, please briefly describe your experience.)

Do you have any concerns or questions about the ceremonies or rituals that will be performed during the retreat?

Do you have any medical or mental health conditions we should be aware of? (e.g., allergies, chronic conditions, depression, anxiety, etc.)

Are you currently under the care of a mental health professional? If yes, please describe.

Are you currently taking any medications? If yes, please list and purpose of use.

Are you interested in receiving a retreat scholarship? If yes what makes you a good candidate for the opportunity?

Please share any additional information that would help us support you during the retreat.

Registration

Thank You for Registering!

TEMAZCAL TONATIUH